Individual
DR. PETER JOHN GIANNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
40TH AND HOLDREGE STREETS, BOX 830740, LINCOLN, NE 68583-0740
(402) 472-4160
(402) 472-2551
Mailing address
128 N 13TH ST, #1005, LINCOLN, NE 68508-1561
(402) 438-8569
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
6584
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4505
BCBS
NE
05
—
47078998500
—
NE
01
—
P00253376
RAILROAD MEDICARE
NE
Enumeration date
02/10/2006
Last updated
01/18/2008
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